Alexandra Castellaccio, LCSW

Licensed in New York · 8 years in practice

Alexandra Castellaccio offers straightforward support for people feeling overwhelmed by stress, anxiety, addiction, or major life changes.

License and registration

LCSW, New York: 097103 · expires January 2027
NPI: 1720586050 · national provider identifier
Years in practice: 8
Languages: English

Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.

About Alexandra

Alexandra Castellaccio offers straightforward support for people feeling overwhelmed by stress, anxiety, addiction, or major life changes. She focuses on helping clients regain daily functioning, reduce distress, and find clearer choices. Alexandra is based in New York and holds a Licensed Clinical Social Worker credential, LCSW, with eight years of practice experience.

She has worked across a range of settings in New York City with people from varied cultural and religious backgrounds.

Background and approach

That work includes supporting individuals coping with depression, trauma, substance use, and legal involvement. Sessions emphasize respect, dignity, and a nonjudgmental tone. Her approach uses evidence-based therapeutic techniques to teach practical skills and offer useful information about problems people face.

She draws on trauma-informed care, motivational interviewing, and a strength-based perspective to guide sessions. These methods are used to help people build resilience, set achievable goals, and make steady changes. In a typical meeting she helps clients name their priorities, notice patterns that get in the way, and try out new strategies between sessions.

She also provides psychoeducation so clients understand why certain feelings and behaviors happen. Progress is framed around each person’s goals rather than a fixed timeline. Alexandra aims to create a calm, comfortable space where people can talk things through without judgment.

She meets clients where they are and works with them to find realistic steps toward feeling better.

Focus areas and approaches

Everything Alexandra lists on their public professional profile, in their own terms.

Online support

How evidence-based approaches work online

Alexandra uses a few clear methods in her online practice. Trauma-informed care focuses on recognizing how past harm affects current reactions and helping clients build safety and coping skills. Motivational interviewing helps people clarify what they want to change and find their own reasons to take steps toward those changes. A strengths-based perspective highlights personal resources and small successes to support steady progress.

Finding the right approach is a collaborative process. The therapist will ask about your goals, preferences, and past experiences and then suggest techniques to try. Together you will adjust methods if something isn’t fitting, so the work suits your needs and pace.

Online sessions are available by video call, phone, live chat, or text-based messaging to offer flexibility. Video calls are useful for deeper conversation and visual cues, phone sessions can fit into a break or when bandwidth is limited, and chat or text messaging can support brief check-ins or ongoing reminders. These options make it easier to fit therapy into a busy life while maintaining continuity of care.

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Questions people ask

What kinds of concerns does she address?

She helps people who are dealing with stress, anxiety, addictions, trauma and abuse, anger, and coping with life changes, along with related issues like guilt, isolation, and relationship communication problems.

What is the general style of therapy?

Expect a practical, respectful approach that uses evidence-based techniques and psychoeducation to build skills and promote resilience.

How much clinical experience does she have?

She has eight years of experience providing clinical services in multiple New York City settings.

What credential and location information is available?

She is a Licensed Clinical Social Worker, LCSW, practicing in New York.

Which languages are sessions offered in?

Sessions are offered in English.

Are international clients supported?

International clients are not currently accepted.

What session formats are offered?

Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging depending on what works best for the client.

How do I begin working with this therapist?

Choose the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist’s availability.

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